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Thyroid, overactive

Introduction 

Video: overactive thyroid

An endocrinologist explains what causes an overactive thyroid gland, and the variety of treatment options

Overactive thyroid, also known as hyperthyroidism or thyrotoxicosis, is a condition that occurs when there is too much thyroid hormone in the body. The condition is more common in women than men.

The role of the thyroid gland

The thyroid gland is found in the neck. It produces hormones that are released into the bloodstream to control the body's growth and metabolism. These hormones are called thyroxine and triiodothyronine. They affect processes such as heart rate and body temperature, and help convert food into energy to keep the body going.

Normally, the levels of thyroxine and triiodothyronine in the blood are carefully controlled so that these processes happen at a stable rate.

However, in hyperthyroidism, the thyroid gland produces an excess amount of thyroxine or triiodothyronine, which speeds up the body's metabolism. This causes symptoms such as:

  • hyperactivity
  • an increased appetite
  • sudden weight loss or gain

See Overactive thyroid - symptoms for more information

Overt and subclinical hyperthyroidism

There are several causes of an overactive thyroid gland, although the most common is Graves' disease, in which the body's immune system targets the thyroid gland and causes it to produce too much thyroid hormone.

Once diagnosed, overactive thyroid can be classed as either:

  • overt, which means that it causes symptoms, or
  • subclinical, when the levels of thyroid hormone are still within normal limits

Outlook

Overactive thyroid can be effectively treated using medicines to slow the production of hormones from the thyroid gland, as well as radiotherapy and in some cases surgery. For more information, see Overactive thyroid - treatment

However, if it is not successfully controlled, overactive thyroid can cause other health problems such as irregular heart rhythms and osteoporosis (weak, brittle bones).

If left untreated, overactive thyroid can be fatal.

Last reviewed: 10/05/2010

Next review due: 10/05/2012

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Pedros143 said on 19 April 2010

Thyroid GP treatment seems to be a case of " identify and forget", (identifying usually done by the patient.) There appears no real follow up or concern on having regular blood tests or symptom checking for the patient once this is confirmed. Very little information is given to the patient about the downside of levothryoxine, so any after effects come as a surprise only to the patient, who then has to make another appointment to find out about them. Pretty poor show all round on this specific disease management.

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User80252 said on 26 March 2010

i had a subtotal thyroidectomy in 1990 for an hyperthroidyism and was not given any medication. Over the past few years i have felt symptoms return.

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